Department of Physiotherapy, School of Rehabilitation, The University of Jordan, Amman 11942, Jordan.
Orelena Hawks Puckett Institute, Asheville, NC 28730, USA.
Int J Environ Res Public Health. 2023 Jan 20;20(3):1972. doi: 10.3390/ijerph20031972.
: Although the COVID-19 pandemic led to a series of governmental policies and regulations around the world, the effect of these policies on access to and provision of rehabilitation services has not been examined, especially in low and middle- income countries. : The aim of this study was to investigate the impact of governmental policies and procedures on the number of patients who accessed rehabilitation services in the public sector in Jordan during the pandemic and to examine the combined effect of sociodemographic factors (age and gender) and the governmental procedures on this number of patients. : A retrospective cohort study was conducted based on records of 32,503 patients who visited the rehabilitation center between January 2020 and February 2021. Interrupted time-series analysis was conducted with three periods and by age and gender. : The number of patients who visited the rehabilitation clinics decreased significantly between January 2020 and May 2020 due to government-imposed policies, then increased significantly until peaking in September 2020 ( = 0.0002). Thereafter, the number of patients decreased between October 2020 and February 2021 as a result of the second wave of the COVID-19 pandemic ( = 0.02). The numbers of male and female patients did not differ ( > 0.05). There were more patients aged 20 years and older attending rehabilitation clinics than younger patients during the first strict lock down and the following reduction of restriction procedures periods ( < 0.05). : The COVID-19 public measures in Jordan reduced access to rehabilitation services. New approaches to building resilience and access to rehabilitation during public health emergencies are needed. A further examination of strategies and new approaches to building resilience and increasing access to rehabilitation during public health emergencies is warranted.
虽然 COVID-19 大流行导致全球各国出台了一系列政策和法规,但这些政策对康复服务的可及性和提供情况的影响尚未得到检验,尤其是在中低收入国家。本研究旨在调查疫情期间约旦公共部门康复服务就诊患者人数的政府政策和程序的影响,并检验社会人口因素(年龄和性别)和政府程序对这一患者人数的综合影响。本研究采用回顾性队列研究,基于 2020 年 1 月至 2021 年 2 月期间到康复中心就诊的 32503 名患者的记录进行。采用年龄和性别分层的三阶段中断时间序列分析。由于政府实施的政策,2020 年 1 月至 5 月期间到康复诊所就诊的患者人数显著减少,随后在 2020 年 9 月显著增加(=0.0002)。此后,由于 COVID-19 疫情的第二波,2020 年 10 月至 2021 年 2 月期间就诊患者人数再次减少(=0.02)。男性和女性患者人数没有差异(>0.05)。在第一次严格封锁和随后放宽限制措施期间,20 岁及以上的患者比年轻患者更多地前往康复诊所(<0.05)。约旦的 COVID-19 公共措施减少了康复服务的可及性。在公共卫生紧急情况下,需要建立恢复力和获得康复服务的新方法。有必要进一步研究在公共卫生紧急情况下建立恢复力和增加获得康复服务的策略和新方法。